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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of Korean Academy of Fundamentals of Nursing
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Journal DOI :
Korean Academy of Fundamentals of Nursing
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Volume & Issues
Volume 9, Issue 3 - Dec 2002
Volume 9, Issue 2 - Aug 2002
Volume 9, Issue 1 - Apr 2002
Selecting the target year
Recognition, Self and Objective Evaluations of Nosocomial Respiratory Infection Control Practices by ICU Nurses
Yoo Moon-Sook ; Ban Kum-Ok ; Yoo Il-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 349~359
Purpose: The purpose of this study was two-fold : to describe the level of recognition of nosocomial respiratory infections by ICU nurses and to compare self evaluation and objective evaluation of nosocomial respiratory infection control practices by ICU nurses. Method: Data were collected from 78 nurses in intensive care units in one university affiliated hospital in Kyung Ki Province. Data were collected from March 4 to March 18, 2002. The recognition and self evaluation data were collected through a self report questionnaire and an objective evaluation which was done by observing the actual behavior of the nurses. Result: The results of this study showed that there was a significant positive relationship between recognition scores and self evaluation scores. However, there was no significant relationship between level of recognition and objective evaluation, nor between self evaluation and objective evaluation of infection control Practices by ICU nurses. Conclusion: ICU nurses In this study gave higher scores on self evaluation of their practice than were shown in the observation evaluation of actual practice. Moreover, in the objective evaluation the nurses had the lowest score on the item, 'washing hands before taking care of patients'. The results indicate that it is necessary to develop a standardized practice manual on nosocomial respiratory infection control in the ICU. Also, it is necessary to have a program to transfer knowledge into actual practice.
A Study on Self-Esteem and Urinary Symptoms in Women with Urinary Incontinence
Lee Young-Hee ; Kim Sun-Are ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 360~369
Purpose: The purpose of this study was to help enhance the quality of life for women with urinary incontinence. Self-esteem, urinary symptoms, peak pressure and duration in seconds for vaginal contraction after pelvic muscles exercise were examined. Method: One-group pretest-posttest design was employed participants were 27 married women from G city. The instrument for this study were : the self-esteem scale developed by Rosenberg(1965). the Urinary Symptom Questionnaire, a subjective measurement of urinary incontinence, developed by Jackson et al.(1996) and the Perineometer used as an objective measurement of peak pressure and duration in seconds. Result: 1. Self-esteem showed significant improvement after the exercise (t=-3.832, p= .001). 2. Comparison of results before the pelvic muscles exercise and after showed that there was a statistically significant difference for several urinary symptoms including enuresis (t=2.833, p=.009), frequency of incontinence (t=2.964, p= .006), incontinence volume (t=2.280, p= .031), incontinence before getting to the restroom (t=3.035, p= .006), incontinence with no reason or feeling (t= 3.051, p= 005) burning sensation (t= 2.132, p=.043), and a sense of residual urine (t=2.267 p=.032). The mean scores showed improvement in the urinary symptoms of management of incontinence (M=
), daily frequency of incontinence management (M=
), urinary control (M=
), running to the restroom (M=
) incontinence caused by coughing or physical activities (M=
) and hesitancy (M=
). Overall urinary symptoms decreased significantly (t =3.073. p= .007). 3. Peak pressure showed an increase from a mean of
before the exercise to a mean of
after (t=-2.399, p=.024). Duration in seconds also increased from a mean of
(t=-4.400, p= 000). Conclusion: These findings suggest that pelvic muscle exercise serves to decrease urinary problems, improve self-esteem and increase peak pressure and duration in seconds.
The Administration Patterns of Sedatives for Sedation of Mechanically Ventilated Patients and Patient Assessment by Nurses
Kim Hwa-Soon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 370~378
Purpose: The purpose of this descriptive study was to investigate the administration patterns of sedatives and paralytic agents for mechanically ventilated patients. Method: The participants were 18 adult patients who received mechanical ventilation therapy for more than 1 day in the MICU. Collected data were type of injected medications, administration interval, injected amount, administration purpose and patient assessment by nurses. Result: Mean age of the patients was 61 years old. Seventy-two percent were male. Only 2 drugs (midazolam and norcuron) were administered to most of subjects. The type of medication administered was less heterogeneous than in previous studies. Most of the patients received sedatives and paralytics intermittently. Six different methods were used by nurses to administer sedatives and paralytics. The mean injection frequency was 9.3 times/day for sedatives and 10.8 times/day for paralytic agents. The most common purpose for administration of the drugs was full sedation of the patient (57%). Conclusion: Since a few patients received sedatives and paralytic agents higher than usual dose and a few Patients received those drugs lower than usual dose, nurses need to use proper protocols and guidelines for sedation to avoid oversedation and undersedation.
Changes in the Image of the Nurse for Student Nurses before and after their First Clinical Experience
Kang Hyun-Sook ; Kim Won-Ok ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 379~387
Purpose: This study was done to identify changes in the image of the nurse for student nurses before and after their first clinical experience. Method: The participants were 108 nursing students who had not had any clinical experience. All participants had their first clinical experience for 1 week. and the image of the nurse was measured before and after the clinical experience. Result : 1) Before the first clinical experience, the scores on the image of the nurse that was the highest for the student nurses was in the professional dimension, followed by traditional, personal, and social in that order. After the clinical experience, the score on the image of the nurse was still the highest in the professional dimension, but this time, it was followed by personal, traditional and social dimension in that order. 2) Difference in the image of the nurse before and after the clinical experience showed statistical significance. The factors influencing this change were the degree of satisfaction with their major, whether the students had ever been hospitalized, and the type of wards where they had their clinical experience. Conclusion: In summary, the first clinical experience should be ideal in order to promote the image of the nurse. Therefore an improvement in the environment for clinical experience is important.
Effects of Meridian Exercise on Health Status, Depression and Self-esteem for Institutionalized Elderly People
Oh Hye-Kyung ; Kim Kwuy-Bun ; Lee Kyung-Ho ; Suk So-Hyune ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 388~398
Purpose: This research was designed as a pre-post experimental study with a nonequivalent control group to verify the effects of meridian exercise on health status, depression and self-esteem in institutionalized elderly people. Method: The research population included 38 participants, 65 years and over, who were assigned to an experimental group (18) or a control group (20). All of the participants were institutionalized in Seoul Data collection was done from October. 2000 to May, 2001 and the experimental treatment for this study, meridian exercise, was done for a total 30 minutes per session for 12 sessions over two weeks. The exercise was developed by a professor of Oriental Medicine and the researchers involved in this study. The data were analyzed using the SPSS PC+ program. Result: There were no significant differences for general characteristics between the two groups. Physical health status, mental-mood health status, depression and self-esteem were low. Differences in the physical health status of the elderly people was higher in the experimental group (t=16.299, p=.000). The effects of the meridian exercise on mental-mood health status, depression, and self-esteem were statistically significant (t= 10.301, p= .000 ; t=15.579, p=.000, t=14.571, p=.000). Conclusion: According to the results, meridian exercise should be used to improve health status, reduce depression and increase self-esteem, and so promote the quality of life for elderly People who must be institutionalized. A study to measure the physiological index in meridian exercise for elderly people is suggested as a method to set up a Korean nursing intervention to enable elderly people to manage their own health.
Application of Complementary Alternative Therapies(CAT) and Influence of Health Locus of Control on CAT in Patients with Chronic Liver Disease
Son Haeng-Mi ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 399~411
Purpose: This study was done to investigate the application of complementary and alternative therapies (CAT) in patients with chronic liver disease. and to analyze the Influence of health locus of control (HLOC) on CAT. Method: Questionnaires on CAT and a multidimensional health locus of control (MHLOC) scale developed by Wallston and Wallston were completed by 141 patients. Result: Analysis showed that 44.7% of the patients had experience with CAT and 49.2% of the patients reported being willing to use CAT. Reliability scores for the scale were HLOC-I 0.7376, HLOC-P 0.6383, HLOC-C 0.7351. The mean scores for the HLOC were HLOC-I 24.86, HLOC-P 22.86, HLOC-C 16.00. There were no significant differences in mean scores for HLOC between the patients who had used CAT and those who had not. Eight response Patterns for HLOC were identified. Among them, 'yea sayer' was the largest group (27.0%). A significant difference was found in the 'yea sayer' pattern between the group who had used CAT and the group who had not. Conclusion: CAT relates to various cognitive factors such as HLOC. Further study is needed to examine the influence of HLOC on CAT and its response patterns.
A Study of Aerobic Workout on Health Promotion in Young Women
Kim Sook-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 412~423
Currently, health promotion is an important issue in health policy for world citizens. Aerobic workout may be one way to attain health promotion. In recent years, there ave been many studies to evaluate the effects of exercise on obese people and various patients. However, there are few studies in which both physiological and psycho-perceptual aspects of health romotion for healthy people have been evaluated. Purpose: This study focused on evaluating the holistic effect of an 8 week aerobic workout for health promotion in young women. Method: This quasi-experimental study was designed as a nonequivalent control group pre-post test study. Forty healthy college women, aged between 20 and 25 volunteered for the study. Twenty women took 30 minutes of exercise a day for five days a week over 8 weeks with Jane Fonda's aerobic workout program. Twenty women participated as controls. The aerobic workout program consisted of warm-up for arms, waist, abdominal, leg, hips, buttocks and cool down exercises. Result: After the eight weeks of aerobic exercise, changes in health related fitness components through the In Body Test, skin fold, circumference of body, Body image, Self concept, Mood and Self-efficacy were compared. The results areas follows ; 1. Following the 8 week aerobic workout, health related body components, and fitness scores, increased significantly (P < 0.05) and skin fold for four sites (right upper arm, scapular, abdomen, supra ilium), and circumference of mid thigh decreased significantly (P<0.05, p<0.005, P<0.001) compared to the control group. 2. Following the 8 week aerobic workout, there was a significant increase in Self-concept and Mood (P<0.005 and 0.001) compared to the control group. Conclusion: According to these results, it is concluded that 8 weeks of aerobic workout have a positive effect on young women's holistic health promotion.
A Comparison of Death Orientation in Student Nurses before and after Studying a Major
Choi Soon-Hee ; Lee Eun-Ju ; Park Min-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 424~433
This study was done to compare death orientation scores for student nurses before and after studying a major. The participants were 130 student nurses before the major and 123 student nurses after the major at C university in Kwang Ju city. The data were gathered from March, 1998 to September, 2001 using a questionnaire. The data were analysed by Chi square test, t-test, ANOVA and Pearson correlation coefficients. The results of this study are summarized as follows ; 1 The mean scores for death orientation before and after the major were 57.8 and 60.2 respectively. The mean score of death orientation after the major tended to be higher than before but they were not significantly different. 2. There were significant differences in death orientation scores between the two groups before the major for 'physical function (F=3.83, p=.023)' and 'attending a lecture on spiritual nursing (F=2.58, p=.010)'. After the major there were significant difference for 'feeling of health (F=4.76, p= .001)'. 3. The death orientation scores before the major showed an inverse correlation with religiosity score (r=-.239, p=.006). After the major there was no correlation with religion.
A Study on the Prevalence and Risk Factors of Postprandial Hypotension among the Community-Dwelling Aged
Yu Su-Jeong ; Song Mi-Soon ; Kim Hyun-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 434~446
Purpose: This study was to identify the prevalence of postprandial hypotension and its related risk factors, and investigate the relationship between the related symptoms and the occurrence of postprandial hypotension. Method: The data were collected from the 22th of August, 2000 to 7th May, 2001. The participants were 74 aged over 60 in Seoul and Chungju, Korea. Blood pressure was taken in the sitting Position at 15mins, 30mins and 60mins after starting meals. Result: 1) The prevalence of postprandial hypotension was 12.2% at 15mins, 25.7% at 30mins, 25.7% at 60mins after starting meals. 2) There was no significant difference in a9e, but there was significant difference in basal systolic blood pressure between responders and nonresponders to postprandial hypotension over the three different times. 3) There was no significant relation between the occurrence of postprandial hypotension and its related symptoms over the three different times. Conclusion: Findings indicate that this study will contribute to develop an assessment protocol and nursing strategies to identify risk factors and to prevent postrprandial hypotension for the aged.
Patterns of Self-Directed Learning in Nurses
Oh Won-Oak ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 447~461
Purpose: The purpose of this study was to identify and understand the self-directed learning patterns of nurses. Q methodology was used to collect the data. Method: For the research method, 43 Q-statements were collected through individual interviews and a review of related literature. The 43 Q-statements were classified by the 34 participants in the study and the data was analyzed by the PC-QUANL program with principal component analysis. Result: There were 4 different patterns of self-directed learning classified as follows : Nurses in Type I the Future Provision Type, studied to promote their own professional development and leadership qualities for the future. Nurses in Type II, the Learning Passion Type, enjoyed learning something new and had a strong learning desire. Nurses in Type III, the Self-reflective Type, continuously evaluated self and their own practice by introspection. Nurses in Type IV, the Accompanying Companion Type, studies with companion support and maintained a collaborative relationship rather than competing with each other. Conclusion: This study explains and allows us to understand self-directed learning in nurses. Thus this study will contribute to building a theoretical base for the development of a self-directed learning model in nursing practice.
Experiences in Spiritual Nursing Care by Student Nurses before Starting Nursing Practice in Hospital: Part I
Koh Myung-Suk ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 462~472
The purpose of this study was to describe the spiritual care experiences of student nurses after they have received 2 credits in a spiritual nursing care course at a university in Seoul, Korea. The major finding are as follow: 1 The problems that students reported for their patients were. loss of self- confidence, anxiety about outward appearance, anxiety about his(her) health and illness, maladaptability, guilt, problems with dating, uncertainty about his (her) future. 2. The methods which students used to help solve the patients' problems were: prayer with patients, use of Scripture, conversation, advice, frequent meetings listening, frequent phone call, writing letters, exploring problem solving methods together, and introduction of similar patients. 3. After the students had experienced spiritual nursing care they felt satis-faction, lack of knowledge of spiritual care, understood that spiritual nursing care courses at the university are important for education and experience, and understood the need for experience to increase sensitivity to the spiritual needs of their patients. Conclusion : Maintaining spiritual wellness is a important as maintaining physical fitness and essential for optimal well being. Therefore educating student nurses in developing and maintaining spiritual wellness is essential in order for them to help their patients achieve holism.
A Study on Attitude to Euthanasia by Student Nurses
Kim So-Nam ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 473~483
The purpose of this study was to explore the attitude of student nurses to euthanasia. The convenient sample for this study consisted of 293 nursing students at a nursing college in Kyeongi Province. The data were collected from Oct. 15, 2002 to Oct. 30, 2002 and were analyzed using frequency, percentage, and
-test with the SAS package. The results of this study are as follow : 77.1% of students agreed to passive euthanasia and 70.6% subjects agreed to legalization of passive euthanasia. 78.5% of students can given an exact explanation of the concept of hospice. They obtained information about hospice from the mass media (1.1%), books (30.0%), friends and neighbors (3.4%), and religious groups (2.4%). The preferred place for death was reported to be home (75.4%), hospital (9.4%) or a peaceful place (6.3%). Fears of facing death were suffering in death (23.4%), grief of remaining family (21.2%), unknown about the other world (10.0%), separation from people who are loved (9.7%), forgotten from the people's memory(6.3%). In conclusion, the attitude of student nurses toward passive euthanasia approached a positive direction. But euthanasia was seen as dangerous and having multiple problems. Therefore the training for student nurses as health professionals should include content on dealing with hospice care and euthanasia.
A Study on Types of Health Behavior among Middle Aged Women in Rural Areas
Yang Jin-Hyang ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 484~500
Purpose: The purposes of this study were to better understand types of health behavior in middle aged women in the Korean agricultural society, understand their nursing needs, and eventually present guidelines to develop proper nursing interventions. Method: Participants for this study were 16 middle aged women from farming communities, who lived in C county and were independent and without chronic ailments. In collection and analysis of data Strauss & Cortin's (1997) research processes and methods were used. The period of data collection was between April 2001 and February 2002. Result: The results of the study showed that the core category was the family-oriented process of
, and four types of health behaviors were observed;
maintenance of health through daily life, managing mental health, and managing illness. Each type was perceived to differ from the other in the terms of health behavior priority which was largely affected by the cultural surrounding, for example, degree of attention to children's education and tendency to a traditional role for women. Conclusion: In conclusion, nurses need to understand various types of health behavior in middle aged women. The findings from this study can be applied to the development of Korean nursing interventions that are based on health behavior among middle aged women in the Korean agricultural society. These interventions can then. be based upon understanding of Korean culture rather than drawn only from Western concepts of health behavior.
Factors Influencing Sexual Permissiveness in Adolescents
Kim Kyung-Hee ; Park Kyung-Sook ; Kim Su-Kang ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 501~512
Purpose: This study was done to identify factors that influence sexual permissiveness. A comprehensive analysis of individual, family, and social factors related to sexual permissiveness in adolescents was done. Method: A descriptive research design was used to explore causal relationships in sexual permissiveness between high school students. Result: The findings of this study are as follows. 1) For individual factors, self-respect. seeking social deviation and seeking internal experience were confirmed as factors influencing sexual permissiveness. 2) For the family factors, the mother-adolescent communication aspect was confirmed as a factor. 3) For the social environment factors. adaptability to school life was confirmed as a factor. Conclusion: On a theoretical basis, this study identifies factors influencing sexual permissiveness in adolescents, and thus contributes to the definition of a desirable sexual culture for young people. Therefore, it is suggested that programs be developed that control the corroborated factors and that further studies be conducted to validate the factors.
Effect of Foot Massage on Sleep, Vital Sign and Fatigue in the Elderly who live in their Home
Won Jong-Soon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 3, 2002, Pages 513~523
Purpose : This study aimed to investigate the effect of foot massage on sleep, vital signs and fatigue in the elderly who live in their Home. Method: Data were collected from 20 elderly who live in the Seoul-Kyunggi province area by convenience sampling and analyzed the change of sleep and sleep satisfaction, vital signs(pulse, respiration, systolic and diastolic blood pressure) and general fatigue between pre and post foot massage using Paired t- test at 0.05 of significance level. Result: There were very significant difference in the sleep and fatigue between pre and post foot massage. Conclusion: Foot massage can improve the sleep and decrease fatigue, therefore we recommend to use foot massage as a effective sleep related nursing intervention in the elderly who live in their home.